Registration - Northern California Robotics Camp
First Name of the child attending the camp
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Last name of the child attending the camp
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Last grade completed in school
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Parent / Guardian
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Emergency Contact person
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Emergency Contact number
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Does the child have any dietary restrictions that would keep them from eating snacks or lunch provided by KIPR?
Home town / community
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We will be able to check you out through our KIPR store after you have filled out this form. We will need to know what e-mail address you would like associated with this child. This e-mail address will also be used for correspondence between now and the time of the camp.
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